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NCLEX-PN exam Format | NCLEX-PN Course Contents | NCLEX-PN Course Outline | NCLEX-PN exam Syllabus | NCLEX-PN exam Objectives
The test plan is reviewed and approved by the NCLEX�
Examination Committee (NEC) every three years.
Multiple resources are used, including the recent practice analysis of licensed practical/vocational nurses
(LPN/VNs), and expert opinions of the NEC, NCSBN staff and nursing regulatory bodies (NRBs) to ensure that
the test plan is consistent with nurse practice acts. Following the endorsement of proposed revisions by
the NEC, the test plan document is presented for approval to the Delegate Assembly, which is the decisionmaking body of NCSBN.
The test plan serves a variety of purposes. It is used to guide candidates preparing for the examination, to
direct item writers in the development of items, and to facilitate the classification of examination items. This
document offers a comprehensive listing of content for each client needs category and subcategory outlined
in the test plan. sample items are provided at the end of each category, which are specific to the client needs
category in that section. There is an item writing guide along with sample case scenarios, which provide
nurse educators with hands-on experience in writing NCLEX-style test items.
Entry into the practice of nursing is regulated by the licensing authorities within each of the NCSBN nursing
regulatory bodies (state, commonwealth and territorial boards of nursing). To ensure public protection, each
jurisdiction requires candidates for licensure to meet set requirements that include passing an examination
that measures the competencies needed to perform safely and effectively as a licensed practical/vocational
nurse (LPN/VN). NCSBN develops a licensure examination, the National Council Licensure Examination for
Practical Nurses (NCLEX-PN�), which is used by U.S. members to assist in making licensure decisions.
Several steps occur in the development of the NCLEX-PN Test Plan. The first step is conducting a practice
analysis that is used to collect data on the current practice of entry-level LPN/VNs (Report of Findings from
the 2018 LPN/VN Practice Analysis: Linking the NCLEX-PN� Examination to Practice, NCSBN, 2019). Twelve
thousand newly licensed practical/vocational nurses are asked about the frequency and priority of performing nursing care activities. Nursing care activities are then analyzed in relation to the frequency of performance, impact on maintaining client safety and client care settings where the activities are performed. This
analysis guides the development of a framework for entry-level nursing practice that incorporates specific
client needs, as well as processes that are fundamental to the practice of nursing. The next step is the
development of the NCLEX-PN Test Plan, which guides the selection of content and behaviors to be tested.
Variations in jurisdiction laws and regulations are considered in the development of the test plan.
The NCLEX-PN Test Plan provides a concise summary of the content and scope of the licensure examination.
It serves as a guide for examination development as well as candidate preparation. The NCLEX� assesses the knowledge, skills and abilities that are essential for the entry-level LPN/VN to use in order to meet the needs
of clients requiring the promotion, maintenance and restoration of health. The following sections describe
beliefs about people and nursing that are integral to the examination, cognitive abilities that will be tested in
the examination and specific components of the NCLEX-PN Test Plan.
Client Needs
Percentage of Items from Each
Category/Subcategory
Safe and Effective Care Environment
=> Coordinated Care 18�24%
=> Safety and Infection Control 10�16%
Health Promotion and Maintenance 6�12%
Psychosocial Integrity 9�15%
Physiological Integrity
=> Basic Care and Comfort 7�13%
=> Pharmacological Therapies 10�16%
=> Reduction of Risk Potential 9�15%
=> Physiological Adaptation 7�13%
The activity statements used in the 2018 LPN/VN Practice Analysis: Linking the NCLEX-PN�
Examination to
Practice (NCSBN, 2019) preface each of the eight content categories and are identified throughout the test
plan by an asterisk (*). NCSBN performs an analysis of those activities used frequently and identified as
important by entry-level nurses to ensure client safety. This is called a practice analysis; it provides data to
support the NCLEX as a reliable, valid measure of competent, entry-level LPN/VN practice. The practice analysis is conducted every three years.
In addition to the practice analysis, NCSBN conducts a knowledge, skills and abilities (KSA) survey. The primary purpose of this study is to identify the knowledge needed by newly licensed practical/vocational nurses
in order to provide safe and effective care. Findings from both the 2018 LPN/VN Practice Analysis: Linking
the NCLEX-PN�
Examination to Practice (NCSBN, 2019) and the 2018 LPN/VN Nursing Knowledge Survey
(NCSBN, 2019) can be found at www.ncsbn.org/1235.htm. Both documents are used in the development of
the NCLEX-PN Test Plan as well as to inform item development.
All task statements in the 2020 NCLEX-PN�
Test Plan require the nurse to apply the fundamental principles
of clinical decision making and critical thinking to nursing practice. The test plan also makes the assumption
that the nurse integrates concepts from the following bodies of knowledge:
=> Social Sciences (psychology and sociology); and
=> Biological Sciences (anatomy, physiology, biology and microbiology) Collaboration with Interdisciplinary Team
=> Identify roles/responsibilities of health care team members
=> Identify need for nursing or interdisciplinary client care conference
=> Contribute to the development of and/or update the client plan of care
=> Contribute to planning interdisciplinary client care conferences
=> Participate as a member of an interdisciplinary team Concepts of Management and Supervision
=> Recognize and report staff conflict
=> Verify abilities of staff members to perform assigned tasks (e.g., job description, scope of practice, training, experience)
=> Provide input for performance evaluation of other staff
=> Participate in staff education (e.g., inservices, continued competency)
=> Use data from various credible sources in making clinical decisions
=> Serve as resource person to other staff
=> Monitor activities of assistive personnel
Confidentiality/Information Security
=> Identify staff actions that impact client confidentiality and intervene as needed (e.g., access to medical records, discussions at nurses station, change-of-shift reports)
=> Recognize staff member and client understanding of confidentiality requirements
=> Apply knowledge of facility regulations when accessing client records
=> Maintain client confidentiality*
=> Provide for privacy needs Continuity of Care
=> Follow up with client after discharge*
=> Participate in client discharge or transfer*
=> Provide follow-up for unresolved client care issues
=> Provide and receive report*
=> Record client information (e.g., medical record, referral/transfer form)
=> Use agency guidelines to guide client care (e.g., clinical pathways, care maps, care plans)
Establishing Priorities
=> Organize and prioritize care based on client needs*
=> Participate in planning client care based upon client needs (e.g., diagnosis, abilities, prescribed treatment)
=> Use effective time management skills
Ethical Practice
=> Identify ethical issues affecting staff or client
=> Inform client of ethical issues affecting client care
=> Intervene to promote ethical practice
=> Practice in a manner consistent with code of ethics for nurses*
=> Review client and staff member knowledge of ethical issues affecting client care Informed Consent
=> Identify appropriate person to provide informed consent for client (e.g., client, parent, legal guardian)
=> Participate in client consent process*
=> Describe informed consent requirements (e.g., purpose for procedure, risks of procedure)
=> Recognize that informed consent was obtained (e.g., completed consent form, client understanding of procedure)
Information Technology
=> Use information technology in client care*
=> Access data for client or staff through online databases and journals
=> Enter computer documentation accurately, completely and in a timely manner
Legal Responsibilities
=> Identify legal issues affecting staff and client (e.g., refusing treatment)
=> Verify and process health care provider orders*
=> Recognize self-limitations of task/assignments and seek assistance when needed*
=> Respond to the unsafe practice of a health care provider (e.g., intervene, report)*
=> Follow regulation/policy for reporting specific issues (e.g., abuse, neglect, gunshot wound,
communicable disease)*
=> Document client care
=> Provide care within the legal scope of practice*
Performance Improvement (Quality Improvement)
=> Identify impact of performance improvement/quality improvement activities on client care
outcomes
=> Participate in quality improvement (QI) activity (e.g., collecting data, serving on QI committee)*
=> Document performance improvement/quality improvement activities
=> Report identified performance improvement/quality improvement concerns to appropriate
personnel (e.g., nurse manager, risk manager)
=> Apply evidence-based practice when providing care*
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NCLEX Examination(NCLEX-PN) test prep
GCI: How Do You prepare For The NCLEX-PN exam? | NCLEX-PN Latest courses and Questions and Answers
July 22, 2021
Nursing is among the few careers the place the most crucial exam you're taking comes after graduation. For Licensed purposeful Nurses (LPN), passing the NCLEX-PN is the key to licensure. Let's take a more in-depth at the look at various and the way to put together for it.
what is the NCLEX-PN?
NCLEX stands for country wide Council Licensure Examination, it be a check given to graduate nurses to consider their capabilities. The letter "PN" denotes it be for useful nurses. The NCLEX-RN is a similar examination for registered nurses.
Eligibility for the NCLEX-PN exam is determined partly with the aid of each and every state's board of nursing, however most have equivalent criteria. applicants should:
What's on the look at various?
The NCLEX-PN is a computerized examination that evaluates your advantage in 4 simple classes and eight subcategories. The goal is to test your skill to make sound judgments in standard nursing instances. every thing nurses deserve to be aware of is lined of their vocational faculty practising application.
Most questions are diverse-option, but some have more than one proper reply. Others desire the candidate to opt for the best of several correct answers. Demonstrations of purposeful knowledge aren't a part of the examination. The 4 basic classes are:
class #1: safe and constructive Care ambiance
Questions during this category make up roughly 25 percent of the verify. Divided into two agencies, they assess a nurse's skill to give safe, meaningful care. subject matters encompass:
class #2: fitness promotion and protection
Questions during this category account for as much as 12 % of the verify and consider the candidate's understanding of:
class #three: Psychosocial Integrity
questions about psychosocial integrity make up 9-15 % of questions and check candidate's abilities of:
category #4: Physiological Integrity
Questions involving physique integrity are divided into four businesses overlaying up to 50-percent of the examination. ideas include:
fundamental Care and comfort
Pharmacological and Parenteral therapy
risk reduction talents
Physiological Adaptation
Is the NCLEX-PN exam challenging?
The NCLEX-PN is a distinct examination. It utilizes laptop Adaptive checking out (CAT) verify. unlike different testing strategies, CAT works via assigning questions a progressive difficulty level. It begins with questions graduates may still have a 50-50 possibility of answering correctly. if you're correct, the next question is harder. if you're wrong, or not it's less demanding. The system continues until the laptop involves a flow/fail determination.
Answering complicated questions correctly capacity the verify is shorter, you might also get as few as 85. Candidates close to the passing general are asked greater questions unless the algorithm is convinced the nurse is qualified. If the check isn't achieved within the disbursed 5 hours, the desktop estimates competency in line with the final sixty questions, candidates fail if any are answered incorrectly.
preparing For the NCLEX-PN
The optimal option to move the NCLEX-PN examination for your first are attempting is to be smartly-prepared. Nursing programs "teach to the verify," however there are other things that you would be able to do to Excellerate your odds.
Work
The decent news for graduate nurses is that almost all states enable them to work below supervision for a undeniable period of time whereas waiting to take the exam. it's no longer a replacement for gaining knowledge of, however the weeks between commencement and verify day are an opportune time to get valuable journey. Most nurses profit greater useful skills in two weeks on the ground than in two months in school. if you shouldn't have a job yet, volunteer.
it be also a superb time to consult with recent NCLEX-PN takers about their journey with the check. Getting a number of guidelines and advice from people that've been there and survived offers you an area through cutting back stress.
look at
Instructors indicate devoting as many publish-graduation hours as possible to researching. With courses finished, that you can focus with fewer interruptions.
each applicant has strengths and weaknesses, so it makes experience to spend greater time reviewing shaky areas. bear in mind that the NCLEX-PN evaluates a nurse's judgment potential, so don't simply memorize statistics. Get together with a peer group and believe various care eventualities, asking yourself the way you could method each and every in a different way.
as an instance, high blood power impacts people in alternative ways, so nursing interventions differ significantly for labor and delivery patients versus older adults. The NCLEX-PN covers all age groups, so accept as true with your route material in context of every.
NCLEX-PN verify Taking suggestions
The NCLEX-PN is demanding. Your career is dependent upon passing it, so give your self each potential with these assistance.
feel About Nursing Priorities
elaborate questions about an issue you are no longer typical with may cause tunnel vision. NCELX-PN creators recognize that as nurses, you are going to come upon many situations you never covered in school, and they need to evaluate how you would operate. can you make protected judgments according to the purchasable facts?
A nurse's most important responsibility on the job is to identify and prioritize needs. That means that if a patient is choking on meals in a flame-crammed room, the priority is to get them faraway from the fireplace, so that they'll are living lengthy enough that you can administer the Heimlich maneuver.
seeing that priorities is essentially the most useful solution to address varied option questions with what seem like several correct answers. within the above example, clearing the throat obstruction and disposing of the patient from a dangerous situation are each appropriate answers, but one is more of a precedence than the different.
A second trick is to bear in mind your ABCs, airway, breathing, circulation. approaching needs in that order basically guarantees an accurate reply.
Watch the Time
you've got 5 hours to comprehensive the NCLEX-PN. That offers you below two minutes per question in case you have to answer the highest. Most candidates don't, so you should not rush, there isn't a bonus for completing early. study questions carefully for purple herrings however monitor your pace so that you do not run out of time. you are going to get two breaks all over the test at 2 and three.5 hours.
dispose of incorrect solutions
suppose of responses to 'choose all that follow" questions as genuine or false. it be not likely that they'll all be true, so consider each and every competencies reply independently. If it's clearly false, pass it off the record. eliminating false solutions is the quickest strategy to narrow down the right decisions.
rest
The mind works in mysterious techniques. in case you've ever woken up in the morning with a solution to an issue you "slept on" overnight, you then keep in mind how your intellect wants time to process information.
cease discovering by means of noon the day earlier than the examination. give yourself some time without work to decompress and deal with your self to a few a great deal-deserved time without work. pass the caffeine before bedtime and take a look at to relax. you will sleep more advantageous and be more refreshed in the morning.
put together Logistically
check day is rarely the time to lose your vehicle keys. evade logistical emergencies through getting ready for test day the afternoon before. be aware of the place the examine core is and plan to depart half-hour early in case of site visitors delays. you'll be became away in case you arrive more than half-hour late, and verify expenses are non-refundable.
Have all required documentation in a position, together with a photograph identity. don't trouble with materials. backyard materials aren't allowed within the examine core. Candidates are given writing materials and can entry the laptop's calculator.
consider Positively
The magnitude of passing the NCLEX-PN is challenging to understate, however when you've prepared, there may be nothing left to do. Take a deep breath, worrying best creates stress. when you're organized, have confidence yourself, if you graduated from nursing faculty, you have what it takes to move. walk into the test middle with self belief. you have got received this.
After the NCLEX-PN
When the algorithm is satisfied you will have answered enough questions for a fair evaluation, the reveal turns off, you might not know if you handed or failed. the primary-time flow fee averages eighty five-p.c. Preliminary effects are usually posted within 48 hours, but these are unofficial. Candidates are officially notified through their state board of nursing within six weeks.
if you fail the test, you are going to be disenchanted. however more than one marvelous nurse didn't flow the first time. counting on your state, the NCLEX-PN can also be retaken each 45 – 90 days with no restrict on the number of attempts. applicants who fail get a summary of their performance to support them look at. accept as true with it a gaining knowledge of journey in order to greater prepare you for the next chance.
remaining concepts
from your first day in nursing faculty to your closing, every little thing you do is in practise for the NCLEX-PN examination. Graduating is step one to a rewarding new profession, passing the NCLEX-PN examination is the icing on the cake.
Do you nevertheless need to comprehensive your functional nursing diploma before taking the NCLEX-PN examination? The practical Nursing software at Gwinnett Institute offers working towards to put together school graduates to enter the nursing career as an LPN. lecture room theory, difficult assignments, ability labs, simulations, and clinical experiences assist to put together faculty graduates for an entry-level nursing place.
After graduating from the Nursing diploma software and efficaciously passing the NCLEX-PN licensure exam, nursing students will extra their profession to develop into a licensed functional nurse. there's an general need for LPNs in response to the growing old baby boomer inhabitants.
*while Gwinnett Institute offers verify guidance and review counsel to school students, it can't assure any school scholar can be able to take or flow any class of licensure examination. school college students ought to bear in mind all through their complete practicing application that licensure is a prerequisite for employment as a nurse and to diligently prepare themselves to satisfy this important requirement.
Contact us nowadays to be taught more about becoming an LPN at Gwinnett Institute.
This press unencumber become produced by Gwinnett faculties & Institute. The views expressed listed below are the author's own.
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